Barsom E Z, Graafland M, Schijven M P
Department of Surgery, Academic Medical Centre, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
Department of Surgery, Flevo Hospital, Almere, The Netherlands.
Surg Endosc. 2016 Oct;30(10):4174-83. doi: 10.1007/s00464-016-4800-6. Epub 2016 Feb 23.
Computer-based applications are increasingly used to support the training of medical professionals. Augmented reality applications (ARAs) render an interactive virtual layer on top of reality. The use of ARAs is of real interest to medical education because they blend digital elements with the physical learning environment. This will result in new educational opportunities. The aim of this systematic review is to investigate to which extent augmented reality applications are currently used to validly support medical professionals training.
PubMed, Embase, INSPEC and PsychInfo were searched using predefined inclusion criteria for relevant articles up to August 2015. All study types were considered eligible. Articles concerning AR applications used to train or educate medical professionals were evaluated.
Twenty-seven studies were found relevant, describing a total of seven augmented reality applications. Applications were assigned to three different categories. The first category is directed toward laparoscopic surgical training, the second category toward mixed reality training of neurosurgical procedures and the third category toward training echocardiography. Statistical pooling of data could not be performed due to heterogeneity of study designs. Face-, construct- and concurrent validity was proven for two applications directed at laparoscopic training, face- and construct validity for neurosurgical procedures and face-, content- and construct validity in echocardiography training. In the literature, none of the ARAs completed a full validation process for the purpose of use.
Augmented reality applications that support blended learning in medical training have gained public and scientific interest. In order to be of value, applications must be able to transfer information to the user. Although promising, the literature to date is lacking to support such evidence.
基于计算机的应用程序越来越多地用于支持医学专业人员的培训。增强现实应用程序(ARA)在现实之上呈现一个交互式虚拟层。ARA的应用对医学教育具有实际意义,因为它们将数字元素与物理学习环境融合在一起。这将带来新的教育机会。本系统评价的目的是调查增强现实应用程序目前在多大程度上有效地支持医学专业人员培训。
使用预先定义的纳入标准,检索截至2015年8月的PubMed、Embase、INSPEC和PsychInfo数据库中的相关文章。所有研究类型均被视为合格。对用于培训或教育医学专业人员的AR应用相关文章进行评估。
共发现27项相关研究,描述了总共7种增强现实应用程序。这些应用程序被分为三个不同类别。第一类针对腹腔镜手术培训,第二类针对神经外科手术的混合现实培训,第三类针对超声心动图培训。由于研究设计的异质性,无法进行数据的统计合并。针对腹腔镜培训的两种应用程序证明了表面效度、结构效度和同时效度,神经外科手术的表面效度和结构效度,以及超声心动图培训的表面效度、内容效度和结构效度。在文献中,没有一个ARA完成了用于实际应用的全面验证过程。
支持医学培训中混合学习的增强现实应用程序已引起公众和科学界的关注。为了具有价值,应用程序必须能够向用户传递信息。尽管前景广阔,但迄今为止的文献缺乏支持此类证据。